| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $21.38 | $36.31 | $112.20 |
Aetna
| Professional | $33.88 | $53.70 | $114.82 | |
Aetna
| Professional | 26 | $19.95 | $25.12 | $69.18 |
BCBS
| Professional | $31.62 | $50.12 | $104.71 | |
BCBS
| Professional | 26 | $19.95 | $26.92 | $52.48 |
Cigna
| Facility | 26 | $5.25 | $28.18 | $67.61 |
Cigna
| Professional | $40.74 | $66.07 | $165.96 | |
Cigna
| Professional | 26 | $22.39 | $33.11 | $70.79 |
United
| Professional | $33.88 | $50.12 | $97.72 | |
United
| Professional | 26 | $19.05 | $26.30 | $47.86 |